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人际关系无望感与自杀个体求助意图和行为的关系。

Relations Between Interpersonal Hopelessness and Help-Seeking Intentions and Behaviors in Suicidal Individuals.

机构信息

Department of Psychology, Hofstra University, Hempstead, NY, USA.

Department of Psychological and Brain Sciences, Boston University, MA, USA.

出版信息

Crisis. 2022 Dec;43(6):468-475. doi: 10.1027/0227-5910/a000815. Epub 2021 Aug 31.

Abstract

Due to an increasing suicide rate, risk factors for suicidal thoughts and behaviors (STBs) are an important target for research. Furthermore, individuals experiencing STBs often do not seek help. This highlights the need to assess factors that are associated with help-seeking intentions and behaviors. The current study examines the role of interpersonal hopelessness in help-seeking intentions and behaviors in suicidal individuals. This was a cross-sectional study. A total of 239 adults ( = 32; 57.7% male; 67.8% Caucasian) completed online measures via Amazon's Mechanical Turk (MTurk). Bivariate analyses were conducted to assess if higher levels of interpersonal hopelessness were associated with lower levels of help-seeking intentions and behaviors in individuals experiencing STBs within the previous 6 months. To distinguish interpersonal hopelessness from other variables that may affect help-seeking, social anxiety, interpersonal problems, general hopelessness, and perceived barriers to treatment were also examined using hierarchical regression. Results showed that interpersonal hopelessness was significantly positively correlated with help-seeking intentions and behaviors. The proportion of variance in help-seeking intentions and behaviors accounted for by interpersonal hopelessness was negligible. The data were self-reported and collected retrospectively making them susceptible to biases. Although an important first step, the cross-sectional design also limits examination of temporal or causal relationships between study variables. Furthermore, the use of an MTurk sample introduces additional limitations, as well as the limited psychometric evaluation of two measures. Results indicate that although interpersonal hopelessness may be an important factor in suicide risk, it may not play a compelling role in help-seeking behaviors.

摘要

由于自杀率不断上升,自杀意念和行为(STBs)的风险因素是研究的重要目标。此外,经历 STB 的个体通常不会寻求帮助。这突出表明需要评估与寻求帮助的意图和行为相关的因素。 目前的研究探讨了人际无望感在自杀个体寻求帮助的意图和行为中的作用。 这是一项横断面研究。共有 239 名成年人(= 32;57.7%为男性;67.8%为白种人)通过亚马逊的 Mechanical Turk(MTurk)在线完成了测量。进行了双变量分析,以评估在过去 6 个月内经历过 STB 的个体中,人际无望感是否与寻求帮助的意图和行为呈较低水平相关。为了将人际无望感与可能影响寻求帮助的其他变量区分开来,还使用分层回归分析了社交焦虑、人际问题、一般无望感和治疗障碍感知等变量。 结果表明,人际无望感与寻求帮助的意图和行为呈显著正相关。人际无望感对寻求帮助的意图和行为的变异比例可以忽略不计。 数据是自我报告的,并且是回顾性收集的,因此容易受到偏见的影响。尽管这是一个重要的第一步,但横断面设计也限制了对研究变量之间的时间或因果关系的检验。此外,使用 MTurk 样本引入了额外的限制,以及对两项措施的有限心理测量评估。 结果表明,尽管人际无望感可能是自杀风险的一个重要因素,但它在寻求帮助的行为中可能没有起到很大的作用。

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